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( ' <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-25'-8857 <br /> SITE AD�DR�ESS � PARCEL TAX I.D.N PERMIT a --� <br /> 'ZO /T/�Y'-I'S �✓� Cv� e ' ��?> neo t�c � �C���C70S <br /> LEGA LOTNO. BLOCK TRAC/T/ <br /> DESC. / "� /"L•Zyii.ec d � ' <br /> ,�OWNER ADORESS ZIP PHO <br /> yO��s f G.ic�ya��/�� Zb//1`�'ps''s-c�. ��d 9��, �y��2i��-oT�' <br /> TE ANT NAME CONTACT FOR PERMIT PMONE <br /> Sc�wt �'_ I �yzS'�zf�—�7e7P <br /> OKy s'f��� ��/i��� u�-sr�rp <br /> CONTRACTOR ADORE 9 ZIP CONTR.LICEN9E N <br /> PHONE /L/Uyl G <br /> PROPOSC:U USE OF BUILDINO Building Mechanical Additlon HEAT SOURCE <br /> / PERMIT g Combination R Plembinp WORK B Alterauon � Eleculc <br /> TYPE R Demolllion � SI n TYPE New Gae <br /> • Ve t/ c,�S Ll Sprinkler B Repalr/Malnt. Other <br /> CONTRACT PRICE OF WORK CITY OP EVERETT LOCAL 9ALE3 TAI(CODE IS]tOS <br /> WORK DESCRIPTION <br /> ��n�f���.�✓�� <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS '/ � <br /> = KITCHEN SINK&DI9POSAL �t7��e _ CLOTHES DRYER /�/� <br /> UISHWASHER RANGE HOOD /V <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUN7AIN GAS FIREPLACE <br /> FLOOR DRAI�I GAS RANGE <br /> 6ACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/!iAWMOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> II NEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIE�HEREIN OR <br /> NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFiORIZED BY TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION�S MADE AND I COMPLY WITH THE Si,1TE <br /> I CONTRACTORS LAW 18.27 CW AND 6.' WNC. � <br /> � / <br /> I re o er/ContracrodAu onzed Agent at <br /> I DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED I <br />